FDA Adverse Event Injury Summary report: N

ACT ARTIC E1 HIP BRG 28X46MM

MDR report key: 8541046 · Received April 23, 2019

Report

Report Number
0001825034-2019-01828
Event Type
Injury
Date Received
April 23, 2019
Date of Event
March 29, 2019
Report Date
July 25, 2019
Manufacturer
ZIMMER BIOMET, INC.
Product Code
LPH
PMA / PMN Number
K101336
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

(B)(4). IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

(B)(4). CONCOMITANT MEDICAL PRODUCTS: ITEM# 0100102618 WAGNER SL REVISION® HIP STEM, UNCEMENTED, ø 18/265, TAPER 12/14 LOT# 2934288. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

REPORTED EVENT WAS CONFIRMED BY REVIEW OF MEDICAL RECORDS AND XRAYS WHICH INDICATED MULTIPLE DISLOCATIONS. VISUAL INSPECTION OF THE BEARING IDENTIFIED LIGHT SCRATCHES ON THE LIP OF THE OPEN END ALL ALONG THE BACKSIDE. THERE WERE ALSO GOUGES OR INDENTATIONS THAT CAN BE FELT WITH THE FINGERNAIL ON THE OUTER DIAMETER. DIMENSIONAL ANALYSIS CANNOT BE PERFORMED DUE TO THE NATURE OF DAMAGES DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND NO DISCREPANCIES RELEVANT TO THE REPORTED EVENT WERE FOUND. ROOT CAUSE WAS UNABLE TO BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT UNDERWENT AN INITIAL LEFT THA ON AN UNKNOWN DATE, AT AN UNKNOWN HOSPITAL, BY UNKNOWN SURGEON. THE PATIENT ACQUIRED AN INFECTION AND IN THE OTHER HOSPITAL, THEY REMOVED UNKNOWN PRODUCT IN A GIRDLESTONE PROCEDURE. SUBSEQUENTLY, PATIENT HAD REVISION OF THE LEFT THA TO ZIMMER BIOMET PRODUCT AND WAS REVISED APPROXIMATELY 8 DAYS LATER DUE TO TURNING IN BED AND DISLOCATING HIP. THE PATIENT WAS REDUCED WITHOUT REVISION. PATIENT DISLOCATED AGAIN APPROXIMATELY 45 DAYS LATER DURING X-RAYS AND WAS REDUCED AGAIN WITHOUT REVISION. SUBSEQUENTLY, THE PATIENT WAS REVISED 8 DAYS AFTER 2ND DISLOCATION AS SHE DISLOCATED AGAIN. THE LINER, HEAD, AND STEM WERE REVISED. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION WERE MADE; HOWEVER, NONE WAS AVAILABLE.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.

Additional Manufacturer Narrative · 1

(B)(4). CONCOMITANT MEDICAL PRODUCTS: ITEM# 110024465, G7 DUAL MOBILITY LINER 46MM G, LOT# 143090; ITEM# 010000666, G7 PPS LTD ACET SHELL 58G, LOT# 6320695; ITEM# 00801802802 FEMORAL HEAD STERILE PRODUCT DO NOT RESTERILIZE 12/14 TAPER, LOT# 64003482; ITEM# UNKNOWN, UNKNOWN STEM, LOT# UNKNOWN. FOREIGN SOURCE: (B)(6). CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 0001825034 -2019 -01826.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT AN INITIAL LEFT THA ON AN UNKNOWN DATE, AT AN UNKNOWN HOSPITAL, BY UNKNOWN SURGEON. THE PATIENT ACQUIRED AN INFECTION AND IN THE OTHER HOSPITAL, THEY REMOVED UNKNOWN PRODUCT IN A GIRDLESTONE PROCEDURE. SUBSEQUENTLY, PATIENT HAD REVISION OF THE LEFT THA TO ZIMMER BIOMET PRODUCT AND WAS REVISED APPROXIMATELY 8 DAYS LATER DUE TO TURNING IN BED AND DISLOCATING HIP. THE PATIENT WAS REDUCED WITHOUT REVISION. PATIENT DISLOCATED AGAIN APPROXIMATELY 45 DAYS LATER DURING X-RAYS AND WAS REDUCED AGAIN WITHOUT REVISION. SUBSEQUENTLY, THE PATIENT WAS REVISED 8 DAYS AFTER 2ND DISLOCATION AS SHE DISLOCATED AGAIN. THE LINER, HEAD, AND STEM WERE REVISED. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION WERE MADE; HOWEVER, NONE WAS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
333063 ACT ARTIC E1 HIP BRG 28X46MM PROSTHESIS, HIP LPH ZIMMER BIOMET, INC. N/A 490510

Patients

Seq Age Sex Outcome Treatment
1 57 YR Hospitalization| R